Role of Desmoglein Autoantibody in the Diagnosis of Pemphigus Vulgaris: A Case Report
Keywords:
Pemphigus vulgaris, autoantibody, desmogleinAbstract
Pemphigus vulgaris (PV) is a group of autoimmune diseases that cause abnormalities in the form of lesions or blisters on the skin and mucous membranes. It often presents diagnostic challenges due to its varied clinical manifestations. Accurate diagnosis and treatment are essential to reduce mortality in patients with PV. Traditional diagnostic methods, such as histopathology and direct immunofluorescence, may not always provide conclusive results, especially if the patient does not have an intact bulla. Our report emphasizes the role of desmoglein autoantibody testing using enzyme-linked immunosorbent assay to confirm the diagnosis, allowing for prompt and targeted therapeutic interventions.References
Porro AM, Seque CA, Ferreira MCC, E Silva Enokihara MMS. Pemphigus vulgaris. An Bras Dermatol. 2019;94(3):264–78.
Kasperkiewicz M, Ellebrecht CT, Takahashi H, et al. Pemphigus. Nat Rev Dis Primers. 2017:3:17026.
Murrell DF, Peña S, Joly P, et al. Diagnosis and management of pemphigus: Recommendations of an international panel of experts. J Am Acad Dermatol. 2020;82(3):575–85.e1.
Schmitt T, Waschke J. Autoantibody-specific signaling in pemphigus. Vol. 8, Frontiers in Medicine. Front Med (Lausanne). 2021:8:701809.
Payne AS, Stanley JR. Pemphigus. In: Kang S, Amagai M, Bruckner A, et al., editors. Fitzpatrick’s dermatology. 9th ed. McGraw-Hill Education; 2019. p. 909–33.
Didona D, Maglie R, Eming R, Hertl M. Pemphigus: Current and future therapeutic strategies. Frontiers in Immunology. Front Immunol. 2019:10:1418.
Shetty V, Subramaniam K, Rao R. Utility of immunofluorescence in dermatology. Indian Dermatol Online J. 2017;8(1):1.
Edwards G, Diercks GFH, Seelen MAJ, Horvath B, Van Doorn MBA, Damman J. Complement activation in autoimmune bullous dermatoses: A comprehensive review. Front Immunol. 2019:10:1477.
Sielski L, Baker J, DePasquale MC, Attwood K, Seiffert-Sinha K, Sinha AA. Desmoglein compensation hypothesis fidelity assessment in Pemphigus. Front Immunol. 2022;13:969278.
El-Komy MHM, Samir N, Shaker OG. Estimation of vitamin D levels in patients with pemphigus vulgaris. J Eur Acad Dermatol Venereol.2014;28(7):859–63.
Yamamoto C, Tamai K, Nakano H, Matsuzaki Y, Kaneko T, Sawamura D. Vitamin D3 inhibits expression of pemphigus vulgaris antigen desmoglein 3: Implication of a partial mechanism in the pharmacological effect of vitamin D3 on skin diseases. Mol Med Rep. 2008;1(4):581–3.
Zarei M, Javanbakht MH, Chams-Davatchi C, et al. Evaluation of vitamin D status in newly diagnosed pemphigus vulgaris patients. Iran J Public Health. 2014;43(11):1544–9.
Bikle DD. Vitamin D metabolism, mechanism of action, and clinical applications. Chem Biol. 2014;21(3):319–29.
Hall RP, Fairley J, Woodley D, et al. A multicentre randomized trial of the treatment of patients with pemphigus vulgaris with infliximab and prednisone compared with prednisone alone. Br J Dermatol. 2015;172(3):760–8.
Colliou N, Picard D, Caillot F, et al. Long-term remissions of severe pemphigus after rituximab therapy are associated with prolonged failure of desmoglein B cell response. Sci Transl Med. 2013;5(175):175ra30.
Abasq C, Mouquet H, Gilbert D, et al. ELISA testing of anti-desmoglein 1 and 3 antibodies in the management of pemphigus. Arch Dermatol. 2009;145(5):529–35.
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Copyright (c) 2025 Diane Lukito Setiawan, Munawaroh Fitriah, Awalia Awalia

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